https://www.stuvia.com/
,https://www.stuvia.com/
Chapter 1: Trends and Issues
gg gg gg gg
Multiple Choice
gg
Identify the choice that best completes the statement or answers the question.
gg gg gg gg gg gg gg gg gg gg gg
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
present for support and notes that things have changed in the delivery room since she last
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
find most different?
gg gg gg
1. Fetal monitoring throughout labor gg gg gg
2. Postpartum stay of 10 days gg gg gg gg
3. Expectant partner and family in operating room for cesarean birth gg gg gg gg gg gg gg gg gg
4. Hospital support for breastfeeding gg gg gg
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
delivery. This is an example of what type of death?
gg gg gg gg gg gg gg gg gg gg
1. Early maternal death gg gg
2. Late maternal death gg gg
3. Direct obstetric death gg gg
4. Indirect obstetric death gg gg
3. The nurse is providing education to a patient who has given birth to her first child and is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
being discharged home. The patient expressed concern regarding infant mortality and
gg gg gg gg gg gg gg gg gg gg gg
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
gg gg gg gg gg gg gg gg gg gg gg gg
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
The infant is healthy and was delivered full-term. What will be most helpful thing to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
explain to the patient?
gg gg gg gg
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
gg gg gg gg gg gg
2. Uses of exogenous pulmonary surfactant gg gg gg gg
3. The Baby-Friendly Hospital Initiative
gg gg gg
4. The Safe to Sleep campaign gg gg gg gg
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
increased risk of which condition?
gg gg gg gg gg
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
gg gg gg gg gg gg gg gg gg gg gg gg gg
Based on the information provided, which condition is the patient’s baby at higher risk for?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1. Intestinal problems gg
2. Neonatal conjunctivitis gg
3. Blindness
Copyright © 2019 F. A. Davis gg gg gg gg gg
Company
gg
,https://www.stuvia.com/
4. Pneumonia
Copyright © 2019 F. A. Davis
gg gg gg gg gg
Company
gg
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
The test confirms the patient is pregnant. The patient states, “I do not need to stop
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
smoking my electronic cigarette because it will not harm my baby.” Which is the best
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
response by the nurse?
gg gg gg gg
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
gg gg gg gg gg gg gg gg gg
2. “Tobacco products, including electronic cigarettes, should not be used
gg gg gg gg gg gg gg gg
during pregnancy due to risking nicotine toxicity.”
gg gg gg gg gg gg gg
3. “According to the FDA, although electronic cigarettes are safe for you, they
gg gg gg gg gg gg gg gg gg gg gg
can cause harm to the fetus during pregnancy.”
gg gg gg gg gg gg gg gg
4. “Electronic cigarettes are considered harmful only in the first trimester.”
gg gg gg gg gg gg gg gg gg
7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child,
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
who is male. The patient’s mother has accompanied her to today’s visit. During the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
nursing assessment, the patient mentions that she is no longer in a relationship with the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
baby’s father but her mother plans to help her. However, the patient’s mother asks
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
whether this will have any impact on the child. Which should the nurse indicate the child
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
is at increased risk of during his adolescence?
gg gg gg gg gg gg gg gg
1. Hypertension
2. Diabetes
3. Alcohol abuse gg
4. Intraventricular bleeding gg
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
patient may have been using marijuana. With consent, the nurse confirms via urine drug
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
screen. Which statement by the nurse is most appropriate?
gg gg gg gg gg gg gg gg gg
1. “Did you smoke marijuana when pregnant with your other child?”
gg gg gg gg gg gg gg gg gg
2. “To avoid negative effects on your baby, you’ll need to stop using
gg gg gg gg gg gg gg gg gg gg gg
marijuana during your last trimester.”
gg gg gg gg gg
3. “Using marijuana while pregnant can have a negative effect on the
gg gg gg gg gg gg gg gg gg gg
neurological development of your baby.”
gg gg gg gg gg
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
gg gg gg gg gg gg gg gg gg
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which
gg gg gg gg gg gg gg gg gg gg gg gg
statement by the patient demonstrates successful patient teaching?
gg gg gg gg gg gg gg gg
1. “I will limit my drinking to just one alcoholic beverage per day.”
gg gg gg gg gg gg gg gg gg gg gg
2. “It’s best for my baby if I avoid drinking during pregnancy.”
gg gg gg gg gg gg gg gg gg gg
3. “An occasional drink on special occasions is okay.”
gg gg gg gg gg gg gg
4. “Drinking alcohol is only acceptable in the first trimester.”
gg gg gg gg gg gg gg gg
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
knows that teaching has been effective when the patient states which of the following?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1. “My child may be at increased risk for birth injury.”
gg gg gg gg gg gg gg gg gg
2. “My child may have a decreased risk of developing childhood diabetes.”
gg gg gg gg gg gg gg gg gg gg
3. “I will probably give birth vaginally.”
gg gg gg gg gg
4. “I have a lower risk of developing gestational hypertension.”
gg gg gg gg gg gg gg gg
Copyright © 2019 F. A. Davis gg gg gg gg gg
Company
gg
,https://www.stuvia.com/
Chapter 1: Trends and Issues
gg gg gg gg
Multiple Choice
gg
Identify the choice that best completes the statement or answers the question.
gg gg gg gg gg gg gg gg gg gg gg
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
present for support and notes that things have changed in the delivery room since she last
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
find most different?
gg gg gg
1. Fetal monitoring throughout labor gg gg gg
2. Postpartum stay of 10 days gg gg gg gg
3. Expectant partner and family in operating room for cesarean birth gg gg gg gg gg gg gg gg gg
4. Hospital support for breastfeeding gg gg gg
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
delivery. This is an example of what type of death?
gg gg gg gg gg gg gg gg gg gg
1. Early maternal death gg gg
2. Late maternal death gg gg
3. Direct obstetric death gg gg
4. Indirect obstetric death gg gg
3. The nurse is providing education to a patient who has given birth to her first child and is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
being discharged home. The patient expressed concern regarding infant mortality and
gg gg gg gg gg gg gg gg gg gg gg
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
gg gg gg gg gg gg gg gg gg gg gg gg
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
The infant is healthy and was delivered full-term. What will be most helpful thing to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
explain to the patient?
gg gg gg gg
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
gg gg gg gg gg gg
2. Uses of exogenous pulmonary surfactant gg gg gg gg
3. The Baby-Friendly Hospital Initiative
gg gg gg
4. The Safe to Sleep campaign gg gg gg gg
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
increased risk of which condition?
gg gg gg gg gg
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
gg gg gg gg gg gg gg gg gg gg gg gg gg
Based on the information provided, which condition is the patient’s baby at higher risk for?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1. Intestinal problems gg
2. Neonatal conjunctivitis gg
3. Blindness
Copyright © 2019 F. A. Davis gg gg gg gg gg
Company
gg
,https://www.stuvia.com/
4. Pneumonia
Copyright © 2019 F. A. Davis
gg gg gg gg gg
Company
gg
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
The test confirms the patient is pregnant. The patient states, “I do not need to stop
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
smoking my electronic cigarette because it will not harm my baby.” Which is the best
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
response by the nurse?
gg gg gg gg
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
gg gg gg gg gg gg gg gg gg
2. “Tobacco products, including electronic cigarettes, should not be used
gg gg gg gg gg gg gg gg
during pregnancy due to risking nicotine toxicity.”
gg gg gg gg gg gg gg
3. “According to the FDA, although electronic cigarettes are safe for you, they
gg gg gg gg gg gg gg gg gg gg gg
can cause harm to the fetus during pregnancy.”
gg gg gg gg gg gg gg gg
4. “Electronic cigarettes are considered harmful only in the first trimester.”
gg gg gg gg gg gg gg gg gg
7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child,
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
who is male. The patient’s mother has accompanied her to today’s visit. During the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
nursing assessment, the patient mentions that she is no longer in a relationship with the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
baby’s father but her mother plans to help her. However, the patient’s mother asks
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
whether this will have any impact on the child. Which should the nurse indicate the child
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
is at increased risk of during his adolescence?
gg gg gg gg gg gg gg gg
1. Hypertension
2. Diabetes
3. Alcohol abuse gg
4. Intraventricular bleeding gg
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
patient may have been using marijuana. With consent, the nurse confirms via urine drug
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
screen. Which statement by the nurse is most appropriate?
gg gg gg gg gg gg gg gg gg
1. “Did you smoke marijuana when pregnant with your other child?”
gg gg gg gg gg gg gg gg gg
2. “To avoid negative effects on your baby, you’ll need to stop using
gg gg gg gg gg gg gg gg gg gg gg
marijuana during your last trimester.”
gg gg gg gg gg
3. “Using marijuana while pregnant can have a negative effect on the
gg gg gg gg gg gg gg gg gg gg
neurological development of your baby.”
gg gg gg gg gg
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
gg gg gg gg gg gg gg gg gg
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which
gg gg gg gg gg gg gg gg gg gg gg gg
statement by the patient demonstrates successful patient teaching?
gg gg gg gg gg gg gg gg
1. “I will limit my drinking to just one alcoholic beverage per day.”
gg gg gg gg gg gg gg gg gg gg gg
2. “It’s best for my baby if I avoid drinking during pregnancy.”
gg gg gg gg gg gg gg gg gg gg
3. “An occasional drink on special occasions is okay.”
gg gg gg gg gg gg gg
4. “Drinking alcohol is only acceptable in the first trimester.”
gg gg gg gg gg gg gg gg
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
knows that teaching has been effective when the patient states which of the following?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1. “My child may be at increased risk for birth injury.”
gg gg gg gg gg gg gg gg gg
2. “My child may have a decreased risk of developing childhood diabetes.”
gg gg gg gg gg gg gg gg gg gg
3. “I will probably give birth vaginally.”
gg gg gg gg gg
4. “I have a lower risk of developing gestational hypertension.”
gg gg gg gg gg gg gg gg
Copyright © 2019 F. A. Davis gg gg gg gg gg
Company
gg
